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General NPI Number Information
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NPI Number | 1174996482
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Entity Type | Individual
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Provider Name | HEATHER SIMON APRN
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Gender | Female
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 7155 E 38TH AVE
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City | DENVER
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State | CO
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Zip | 80207-1630
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Country | US
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Telephone | 303-321-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 719 SAN MATEO BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1434
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Country | US
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Telephone | 505-265-9511
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP9297979
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0001889-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9297979
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 66019
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License Number State | NM
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